SHORT TERM COMPLICATIONS OF MYELOMENINGOCELE REPAIR

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Abstract

Objective: To determine short term complications of myelomeningocele repair.
Material and Methods: This descriptive cross-sectional study was conducted in department of Neurosurgery Naseer
Teaching Hospital, Peshawar from September 2014 to February 2016. A total of 36 patients were recruited in this study.
All patients having age range from 1 to 9 months of either gender who were operated for myelomeningocele were
included in the study while those with a prior VP Shunt and not willing for surgery were excluded. Patient age, gender
and short term complication (within one month) were recorded on a proforma. Patients were followed for one month.
Data was analyzed by SPSS Version 20.0and presented in form of tables.
Results: Total of 36 patients were studied in 18 months with minimum age of 1 month and maximum 9 months of age.
19(52.7%), were in age range1-3 months,12(33.3%) in 4-6 months and 5(13.8%) in 7-9 months of age. The mean age
was 3months with SD ± 2.36.Gender distribution 17(47.2%) were male and 19(52.7%) were female. The most common
complication of MMC repair was infection 9(25%),followed by cerebro spinal fluid (CSF) leak in 7(19.4%) and Hydrocephalus
in 6(16.6%). All patients with post operative hyrdrocephalus were operated for VP Shunt.
Conclusion: Myelomeningocele is a serious neurological problem associated with aggressive morbidity and mortality.
Awareness of the community and medical professionals with impact of this problem with a sector of the community
should be raised

Authors: 
Sohail Amir1
Maimoona Qadir3
Journal Issue: